MEDICARE: DR. VALERIE LYNNE PINHAS PH.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	CASAC 1578	NY
2	1041C0700X	Clinical Social Worker	LCSW R034069-1	NY
3	102L00000X	Psychoanalyst	000033	NY

General Provider Information

NPI Number	:	1235159872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VALERIE LYNNE PINHAS PH.D

Provider Business Mailing Address
First Line	:	10 SUSSEX RD
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11020-1829
Country	:	US
Telephone Number	:	516-482-8314
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 SUSSEX RD
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11020-1829
Country	:	US
Telephone Number	:	516-482-8314
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	09/09/2010

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